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Individual

BRENT MICHAEL LEM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 N STATE ST, CLINIC TOWER A7D, LOS ANGELES, CA 90033-5000
(323) 409-6931
Mailing address
1100 N STATE ST, CLINIC TOWER A7D, LOS ANGELES, CA 90033-5000

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A119419
CA

Other

Enumeration date
04/30/2012
Last updated
04/30/2012
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